title: A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix.
abstract: OBJECTIVE
  To report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University-based tertiary care hospital.
  
  
  METHODS
  A woman with congenital absence of the cervix, functional vagina, and adenomyosis uteri.
  
  
  METHODS
  Laparoscopic-assisted creation of an uterovaginal fistula followed by placement of a polytetrafluoroethylene graft lined with vaginal mucosa graft to create the neocervix.
  
  
  METHODS
  Follow-up examinations with the hysteroscope confirmed unobstructed menstrual outflow through the patent neocervix.
  
  
  RESULTS
  The neocervix was completely mucosalized on the inner surface by 12 days postoperatively. The patient had return of menstrual bleeding at 4 weeks postoperatively. She has resumed normal sexual activities and had maintained regular menstrual cycles at the 6-month clinical follow-up. There were no complications related to the graft.
  
  
  CONCLUSIONS
  Prosthetic reconstruction of the cervix using vaginal mucosa-lined polytetrafluoroethylene is easy to perform and effective. It offers an alternative treatment option for patients with cervical agenesis to preserve their reproductive potential.
authors.affiliation: Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Dung H
authors.initials: DH
authors.lastname: Nguyen
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Kai-Yun
authors.initials: KY
authors.lastname: Wu
authors.forename: Ming-Huei
authors.initials: MH
authors.lastname: Cheng
mesh_terms: D001807:Blood Vessel Prosthesis; D002584:Cervix Uteri / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D004715:Endometriosis / Q000150:complications / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000151:congenital / Q000503:physiopathology / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D015907:Hysteroscopy; D010535:Laparoscopy; D008597:Menstrual Cycle; D009092:Mucous Membrane / Q000637:transplantation; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012725:Sexual Behavior; D019738:Surgically-Created Structures; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000150:complications / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D055815:Young Adult
chemical_list: D011138:Polytetrafluoroethylene